Baert L, Leonard A
Department of Urology, St. Pieters University Hospital, Leuven, Belgium.
J Urol. 1988 Oct;140(4):755-7. doi: 10.1016/s0022-5347(17)41804-0.
Direct transperineal infiltration of the prostate with antibiotics was performed in 24 selected patients with refractory chronic bacterial prostatitis. Diagnosis had been made following a modification of the classical lower tract localization studies. Remission periods of at least 6 months were obtained in 71 per cent of these patients after 1 or 2 infiltrations, while 6 of 24 (25 per cent) required several procedures to assume a long-term remission state and 1 (4 per cent) failed therapy (patient 24490). Seven patients had relapse after remission periods ranging from 13 months to 7 years. The last culture in 3 patients was positive. The value of the method compared to other therapeutic alternatives in the management of chronic bacterial prostatitis is discussed.
对24例经挑选的难治性慢性细菌性前列腺炎患者进行了经会阴直接前列腺抗生素浸润治疗。诊断是在对经典的下尿路定位研究进行改进后做出的。在1次或2次浸润治疗后，这些患者中有71%获得了至少6个月的缓解期，而24例中有6例（25%）需要多次治疗才能进入长期缓解状态，1例（4%）治疗失败（患者24490）。7例患者在13个月至7年的缓解期后复发。3例患者的最后一次培养结果为阳性。本文讨论了该方法与慢性细菌性前列腺炎管理中其他治疗选择相比的价值。
